CA1252361A - Transdermal delivery of highly ionized fat soluble drugs - Google Patents
Transdermal delivery of highly ionized fat soluble drugsInfo
- Publication number
- CA1252361A CA1252361A CA000508216A CA508216A CA1252361A CA 1252361 A CA1252361 A CA 1252361A CA 000508216 A CA000508216 A CA 000508216A CA 508216 A CA508216 A CA 508216A CA 1252361 A CA1252361 A CA 1252361A
- Authority
- CA
- Canada
- Prior art keywords
- permeation enhancer
- drug
- medical device
- reservoir
- skin
- Prior art date
- Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
- Expired
Links
- 239000003814 drug Substances 0.000 title claims abstract description 98
- 229940079593 drug Drugs 0.000 title claims abstract description 97
- 230000037317 transdermal delivery Effects 0.000 title claims abstract description 8
- 239000003961 penetration enhancing agent Substances 0.000 claims abstract description 54
- XLYOFNOQVPJJNP-UHFFFAOYSA-N water Substances O XLYOFNOQVPJJNP-UHFFFAOYSA-N 0.000 claims abstract description 12
- 230000001070 adhesive effect Effects 0.000 claims description 32
- 239000000853 adhesive Substances 0.000 claims description 30
- 239000000463 material Substances 0.000 claims description 23
- 238000012384 transportation and delivery Methods 0.000 claims description 12
- 229920001200 poly(ethylene-vinyl acetate) Polymers 0.000 claims description 9
- -1 polyethylene Polymers 0.000 claims description 8
- 239000004698 Polyethylene Substances 0.000 claims description 5
- CGIGDMFJXJATDK-UHFFFAOYSA-N indomethacin Chemical compound CC1=C(CC(O)=O)C2=CC(OC)=CC=C2N1C(=O)C1=CC=C(Cl)C=C1 CGIGDMFJXJATDK-UHFFFAOYSA-N 0.000 claims description 4
- 229920000573 polyethylene Polymers 0.000 claims description 4
- 229920001223 polyethylene glycol Polymers 0.000 claims description 4
- NZJXADCEESMBPW-UHFFFAOYSA-N 1-methylsulfinyldecane Chemical group CCCCCCCCCCS(C)=O NZJXADCEESMBPW-UHFFFAOYSA-N 0.000 claims description 3
- 239000003094 microcapsule Substances 0.000 claims description 3
- 229960000805 nalbuphine Drugs 0.000 claims description 3
- NETZHAKZCGBWSS-CEDHKZHLSA-N nalbuphine Chemical compound C([C@]12[C@H]3OC=4C(O)=CC=C(C2=4)C[C@@H]2[C@]1(O)CC[C@@H]3O)CN2CC1CCC1 NETZHAKZCGBWSS-CEDHKZHLSA-N 0.000 claims description 3
- 229960004127 naloxone Drugs 0.000 claims description 3
- AQHHHDLHHXJYJD-UHFFFAOYSA-N propranolol Chemical compound C1=CC=C2C(OCC(O)CNC(C)C)=CC=CC2=C1 AQHHHDLHHXJYJD-UHFFFAOYSA-N 0.000 claims description 3
- BSYNRYMUTXBXSQ-UHFFFAOYSA-N Aspirin Chemical compound CC(=O)OC1=CC=CC=C1C(O)=O BSYNRYMUTXBXSQ-UHFFFAOYSA-N 0.000 claims description 2
- GJSURZIOUXUGAL-UHFFFAOYSA-N Clonidine Chemical compound ClC1=CC=CC(Cl)=C1NC1=NCCN1 GJSURZIOUXUGAL-UHFFFAOYSA-N 0.000 claims description 2
- SECXISVLQFMRJM-UHFFFAOYSA-N N-Methylpyrrolidone Chemical compound CN1CCCC1=O SECXISVLQFMRJM-UHFFFAOYSA-N 0.000 claims description 2
- 229960000571 acetazolamide Drugs 0.000 claims description 2
- BZKPWHYZMXOIDC-UHFFFAOYSA-N acetazolamide Chemical compound CC(=O)NC1=NN=C(S(N)(=O)=O)S1 BZKPWHYZMXOIDC-UHFFFAOYSA-N 0.000 claims description 2
- 229960001138 acetylsalicylic acid Drugs 0.000 claims description 2
- 125000000217 alkyl group Chemical group 0.000 claims description 2
- VMWNQDUVQKEIOC-CYBMUJFWSA-N apomorphine Chemical compound C([C@H]1N(C)CC2)C3=CC=C(O)C(O)=C3C3=C1C2=CC=C3 VMWNQDUVQKEIOC-CYBMUJFWSA-N 0.000 claims description 2
- 229960004046 apomorphine Drugs 0.000 claims description 2
- 229960002896 clonidine Drugs 0.000 claims description 2
- 229940105988 dimethyl lauramine Drugs 0.000 claims description 2
- 229960000905 indomethacin Drugs 0.000 claims description 2
- FLOSMHQXBMRNHR-DAXSKMNVSA-N methazolamide Chemical compound CC(=O)\N=C1/SC(S(N)(=O)=O)=NN1C FLOSMHQXBMRNHR-DAXSKMNVSA-N 0.000 claims description 2
- 229960004083 methazolamide Drugs 0.000 claims description 2
- YWFWDNVOPHGWMX-UHFFFAOYSA-N n,n-dimethyldodecan-1-amine Chemical compound CCCCCCCCCCCCN(C)C YWFWDNVOPHGWMX-UHFFFAOYSA-N 0.000 claims description 2
- DQCKKXVULJGBQN-XFWGSAIBSA-N naltrexone Chemical compound N1([C@@H]2CC3=CC=C(C=4O[C@@H]5[C@](C3=4)([C@]2(CCC5=O)O)CC1)O)CC1CC1 DQCKKXVULJGBQN-XFWGSAIBSA-N 0.000 claims description 2
- 229960003086 naltrexone Drugs 0.000 claims description 2
- 229960001802 phenylephrine Drugs 0.000 claims description 2
- 229960003712 propranolol Drugs 0.000 claims description 2
- 150000003462 sulfoxides Chemical class 0.000 claims description 2
- 229960002372 tetracaine Drugs 0.000 claims description 2
- 229960002180 tetracycline Drugs 0.000 claims description 2
- DLNKOYKMWOXYQA-UHFFFAOYSA-N dl-pseudophenylpropanolamine Natural products CC(N)C(O)C1=CC=CC=C1 DLNKOYKMWOXYQA-UHFFFAOYSA-N 0.000 claims 2
- UZHSEJADLWPNLE-GRGSLBFTSA-N naloxone Chemical compound O=C([C@@H]1O2)CC[C@@]3(O)[C@H]4CC5=CC=C(O)C2=C5[C@@]13CCN4CC=C UZHSEJADLWPNLE-GRGSLBFTSA-N 0.000 claims 2
- DLNKOYKMWOXYQA-APPZFPTMSA-N phenylpropanolamine Chemical compound C[C@@H](N)[C@H](O)C1=CC=CC=C1 DLNKOYKMWOXYQA-APPZFPTMSA-N 0.000 claims 2
- 229960000395 phenylpropanolamine Drugs 0.000 claims 2
- XWTYSIMOBUGWOL-UHFFFAOYSA-N (+-)-Terbutaline Chemical compound CC(C)(C)NCC(O)C1=CC(O)=CC(O)=C1 XWTYSIMOBUGWOL-UHFFFAOYSA-N 0.000 claims 1
- 229930003347 Atropine Natural products 0.000 claims 1
- RKUNBYITZUJHSG-UHFFFAOYSA-N Hyosciamin-hydrochlorid Natural products CN1C(C2)CCC1CC2OC(=O)C(CO)C1=CC=CC=C1 RKUNBYITZUJHSG-UHFFFAOYSA-N 0.000 claims 1
- MKXZASYAUGDDCJ-SZMVWBNQSA-N LSM-2525 Chemical compound C1CCC[C@H]2[C@@]3([H])N(C)CC[C@]21C1=CC(OC)=CC=C1C3 MKXZASYAUGDDCJ-SZMVWBNQSA-N 0.000 claims 1
- NNJVILVZKWQKPM-UHFFFAOYSA-N Lidocaine Chemical compound CCN(CC)CC(=O)NC1=C(C)C=CC=C1C NNJVILVZKWQKPM-UHFFFAOYSA-N 0.000 claims 1
- 239000004100 Oxytetracycline Substances 0.000 claims 1
- 239000004098 Tetracycline Substances 0.000 claims 1
- 125000005233 alkylalcohol group Chemical group 0.000 claims 1
- RKUNBYITZUJHSG-SPUOUPEWSA-N atropine Chemical compound O([C@H]1C[C@H]2CC[C@@H](C1)N2C)C(=O)C(CO)C1=CC=CC=C1 RKUNBYITZUJHSG-SPUOUPEWSA-N 0.000 claims 1
- 229960000396 atropine Drugs 0.000 claims 1
- ZDIGNSYAACHWNL-UHFFFAOYSA-N brompheniramine Chemical compound C=1C=CC=NC=1C(CCN(C)C)C1=CC=C(Br)C=C1 ZDIGNSYAACHWNL-UHFFFAOYSA-N 0.000 claims 1
- 229960000725 brompheniramine Drugs 0.000 claims 1
- SOYKEARSMXGVTM-UHFFFAOYSA-N chlorphenamine Chemical compound C=1C=CC=NC=1C(CCN(C)C)C1=CC=C(Cl)C=C1 SOYKEARSMXGVTM-UHFFFAOYSA-N 0.000 claims 1
- 229960003291 chlorphenamine Drugs 0.000 claims 1
- 229960001747 cinchocaine Drugs 0.000 claims 1
- PUFQVTATUTYEAL-UHFFFAOYSA-N cinchocaine Chemical compound C1=CC=CC2=NC(OCCCC)=CC(C(=O)NCCN(CC)CC)=C21 PUFQVTATUTYEAL-UHFFFAOYSA-N 0.000 claims 1
- 229960001985 dextromethorphan Drugs 0.000 claims 1
- 229960002428 fentanyl Drugs 0.000 claims 1
- PJMPHNIQZUBGLI-UHFFFAOYSA-N fentanyl Chemical compound C=1C=CC=CC=1N(C(=O)CC)C(CC1)CCN1CCC1=CC=CC=C1 PJMPHNIQZUBGLI-UHFFFAOYSA-N 0.000 claims 1
- 229960004194 lidocaine Drugs 0.000 claims 1
- IWVCMVBTMGNXQD-PXOLEDIWSA-N oxytetracycline Chemical compound C1=CC=C2[C@](O)(C)[C@H]3[C@H](O)[C@H]4[C@H](N(C)C)C(O)=C(C(N)=O)C(=O)[C@@]4(O)C(O)=C3C(=O)C2=C1O IWVCMVBTMGNXQD-PXOLEDIWSA-N 0.000 claims 1
- 229960000625 oxytetracycline Drugs 0.000 claims 1
- 235000019366 oxytetracycline Nutrition 0.000 claims 1
- SONNWYBIRXJNDC-VIFPVBQESA-N phenylephrine Chemical compound CNC[C@H](O)C1=CC=CC(O)=C1 SONNWYBIRXJNDC-VIFPVBQESA-N 0.000 claims 1
- 229960000195 terbutaline Drugs 0.000 claims 1
- IWVCMVBTMGNXQD-UHFFFAOYSA-N terramycin dehydrate Natural products C1=CC=C2C(O)(C)C3C(O)C4C(N(C)C)C(O)=C(C(N)=O)C(=O)C4(O)C(O)=C3C(=O)C2=C1O IWVCMVBTMGNXQD-UHFFFAOYSA-N 0.000 claims 1
- GKCBAIGFKIBETG-UHFFFAOYSA-N tetracaine Chemical compound CCCCNC1=CC=C(C(=O)OCCN(C)C)C=C1 GKCBAIGFKIBETG-UHFFFAOYSA-N 0.000 claims 1
- 235000019364 tetracycline Nutrition 0.000 claims 1
- 229930101283 tetracycline Natural products 0.000 claims 1
- 150000003522 tetracyclines Chemical class 0.000 claims 1
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- 239000000243 solution Substances 0.000 description 3
- LFQSCWFLJHTTHZ-UHFFFAOYSA-N Ethanol Chemical compound CCO LFQSCWFLJHTTHZ-UHFFFAOYSA-N 0.000 description 2
- 239000002202 Polyethylene glycol Substances 0.000 description 2
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- SVDOODSCHVSYEK-IFLJXUKPSA-N (4s,4ar,5s,5ar,6s,12ar)-4-(dimethylamino)-1,5,6,10,11,12a-hexahydroxy-6-methyl-3,12-dioxo-4,4a,5,5a-tetrahydrotetracene-2-carboxamide;hydron;chloride Chemical compound Cl.C1=CC=C2[C@](O)(C)[C@H]3[C@H](O)[C@H]4[C@H](N(C)C)C(=O)C(C(N)=O)=C(O)[C@@]4(O)C(=O)C3=C(O)C2=C1O SVDOODSCHVSYEK-IFLJXUKPSA-N 0.000 description 1
- CJPDBKNETSCHCH-UHFFFAOYSA-N 1-methylsulfinyldodecane Chemical compound CCCCCCCCCCCCS(C)=O CJPDBKNETSCHCH-UHFFFAOYSA-N 0.000 description 1
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- 229920001817 Agar Polymers 0.000 description 1
- DBAKFASWICGISY-BTJKTKAUSA-N Chlorpheniramine maleate Chemical compound OC(=O)\C=C/C(O)=O.C=1C=CC=NC=1C(CCN(C)C)C1=CC=C(Cl)C=C1 DBAKFASWICGISY-BTJKTKAUSA-N 0.000 description 1
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- MMOXZBCLCQITDF-UHFFFAOYSA-N N,N-diethyl-m-toluamide Chemical compound CCN(CC)C(=O)C1=CC=CC(C)=C1 MMOXZBCLCQITDF-UHFFFAOYSA-N 0.000 description 1
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- WUGQZFFCHPXWKQ-UHFFFAOYSA-N Propanolamine Chemical compound NCCCO WUGQZFFCHPXWKQ-UHFFFAOYSA-N 0.000 description 1
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- QAOWNCQODCNURD-UHFFFAOYSA-L Sulfate Chemical compound [O-]S([O-])(=O)=O QAOWNCQODCNURD-UHFFFAOYSA-L 0.000 description 1
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- HOBWAPHTEJGALG-JKCMADFCSA-N [(1r,5s)-8-methyl-8-azoniabicyclo[3.2.1]octan-3-yl] 3-hydroxy-2-phenylpropanoate;sulfate Chemical compound [O-]S([O-])(=O)=O.C([C@H]1CC[C@@H](C2)[NH+]1C)C2OC(=O)C(CO)C1=CC=CC=C1.C([C@H]1CC[C@@H](C2)[NH+]1C)C2OC(=O)C(CO)C1=CC=CC=C1 HOBWAPHTEJGALG-JKCMADFCSA-N 0.000 description 1
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Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K9/00—Medicinal preparations characterised by special physical form
- A61K9/70—Web, sheet or filament bases ; Films; Fibres of the matrix type containing drug
- A61K9/7023—Transdermal patches and similar drug-containing composite devices, e.g. cataplasms
- A61K9/703—Transdermal patches and similar drug-containing composite devices, e.g. cataplasms characterised by shape or structure; Details concerning release liner or backing; Refillable patches; User-activated patches
- A61K9/7084—Transdermal patches having a drug layer or reservoir, and one or more separate drug-free skin-adhesive layers, e.g. between drug reservoir and skin, or surrounding the drug reservoir; Liquid-filled reservoir patches
Abstract
ABSTRACT OF THE DISCLOSURE
A medical device for the transdermal delivery of highly ionized, fat insoluble drugs comprises an aqueous drug reservoir having a physiological pH, said reservoir preferably being a gel maintained in an impermeable receptacle by a highly permeable support member disposed between the gel and a permeable contact adhesive. A
permeation enhancer reservoir delivers a permeation enhancer to the skin through the aqueous reservoir and through a permeation enhancer release rate controlling membrane which is permeable to the permeation enhancer and impermeable to the drug and water. In a preferred embodiment the permeation enhancer release rate controlling membrane forms at least a portion of said receptacle.
A medical device for the transdermal delivery of highly ionized, fat insoluble drugs comprises an aqueous drug reservoir having a physiological pH, said reservoir preferably being a gel maintained in an impermeable receptacle by a highly permeable support member disposed between the gel and a permeable contact adhesive. A
permeation enhancer reservoir delivers a permeation enhancer to the skin through the aqueous reservoir and through a permeation enhancer release rate controlling membrane which is permeable to the permeation enhancer and impermeable to the drug and water. In a preferred embodiment the permeation enhancer release rate controlling membrane forms at least a portion of said receptacle.
Description
~,2~ii23~6 ~....... MC 1150 PATENT
TRANSDERMAL DELI~ERY OF HIGHLY IONIZED
.
FAT INSOLUBLE DRUGS
, FIELD OF THE INVENTION
This invention relates to medical devices for delivering drugs to the body through intact skin and more particularly for delivering the ionized form of highly ionized, fat insoluble drugs~
BACKGROUND OF THE INVENTION
.
Devices that deliver drugs through the skin for.absorption into the body have been known for some time. For example9 U,S. Patent No.
3,249,109 describes a two-layer topical dressing that consists of an adhesive base made of drug-containing hydrated gelatin with a fabric io backing layer. This type of device could be considered a "skin-control.led" device because the system delivers an exress of drug to the skin and the rate of absorption is contro11ed by the permeability of the skin at the application site which can vary over relatively wide ranges from site-to-site and individual-to-individual. In order to deliver transdermal drugs having a relatively narrow therapeutic range, and for which such wide variations could not be tolerated, "system-controlled" delivery devices were developed which deliver drugs transdermally at rates which are controlled primarily by the delivery device to reduce or eliminate the variations in drug input rate associated with variations in skin permeability. For example, U,S. Patent No. 3,598,122 describes a multilayer adhesive bandage formed of a backing layer, a drug reservoir layer and a contact adhesive layer, and includes means for metering the raté at which~the .~
K U l .L ~) U
.
- drug is released to the skin. ûther representative system controlled transdermal drug delivery devices are described in U~S. Patents 33797l494 and 4,379,454, the latter of which teaches controlling the rate at which a drug is absorbed through the skin by controlling the rate at which a permeation enhancer for the drug is delivered t`o the skin.
In addition, Black, "Transdermal Drug Delivery Systems", U.S. Pharmacist, November 1982, pp. 49-78, provides additional background information regarding commercially available 1û transdermal drug delivery systems and a reasonably complete summary of the factors involved in percutaneous absorption of drugs may be found in Ari~a, et al, "Studies on Percutaneous Absorption of Drugs", Chem.
Phar. Bull., Vol. 18, 197D, pp. 1045-1049; Idson, "Percutaneous Absorption", J. Phar. Sci., Vol. 64, No. 6, pp. 910-922; and Cooney, Advances in Biomedical Engineer ng9 Part 1, Chapter 6, "Drug Permeation Through Skin: Controlled Delivery for Topical of Systemic Therapy", Marcel Dekker, Inc., New York and Basel, 1980 pp. 305-318.
Although the transdermal drug delivery route is rapidly becoming a preferred delivery route for a wide variety of drugs, transdermal 2û delivery is not without its problems. A large number of drugs are oil-insoluble and in aqueous solutions exist, depending on pH, either as the unionized acid or bdse or in the ionized salt form. The unionized forms of most drugs are generally more permeable through the skin than the ionized drug making it easier to achieve, either with or without permeation enhancers, blood levels ~hich are capable of pro-ducing the desired therapeutic effects. (See R. J. Scheuplein, et al., "Permeability of the Skin", Physiological Reviews, ~ol. 51~ No.
~2~2;3~.
4 October 1972, pp. 702-7~7, particularly 729-735). Unfortunately, the pH of aqueous solutions of a free base or acid is usually below 3 for the acid or above 10 for the base, and transdermal delivery at these pH's may cause discomfort and/or irritation to the skin of the recipients. Adjusting the pH of solutions of these drugs to a more physiologically acceptable level (e.g., 5-8) results in a substantial proportion of the drug being converted to the non-permeable, ionized form. As a result, prior -to our invention we are unaware of any transdermal drug delivery system which is cap-able of delivering the ionized form of highly ionized, fat insol-uble drugs at rates adequate to produce desired therapeutic effects.
It is accordingly an aspect of this invention to seek to provide a medical device for transdermal drug deli-very adapted to deliver the ionized form of a highly ionized, fat insoluble drug.
It is another aspect o-f this invention to seek to provide a transdermal drug delivery device capable of deliverying a highly ionized, fat insoluble drug from an aqueous reservoir.
It is another aspect of this invention to seek -to pro-vide a transdermal drug delivery device in which a highly ionized,fat insoluble drug is delivered at a substantially physiological pH.
It is another aspect of this invention -to seek to provide a transdermal drug delivery device capable of deliverying the ionized form of a fat insoluble drug at a substantially constant rate.
It is another aspect of this invention to seek to provide ~5~6~
- 3a -- 67696-82 reservoir compositions useful in the aforementioned drug delivery devices.
In one aspec-t, the invention provides a medical device for the transdermal delivery of a highly ionized fat insoluble drug comprising:
a. aqueous drug reservoir means having said drug dissolved therein;
b. receptacle means containing said aqueous reservoir means, said receptacle means being substantially impermeable to the con-tent of said reservoir means;
c. highly permeable reservoir retaining means disposed overthe skin proximal surface of said aqueous reservoir means;
d. permeation enhancer delivery means for delivering a permeation enhancer to the skin through said aqueous reservoir means, said permeation enhancer delivery means comprising:
i) a source of permeation enhancer, and ii) permeation enhancer release rate controlling means disposed between said source of permeation enhancer and said aqueous reservoir means, said permeation enhancer release rate controlling means comprising a material permeable to said per-meation enhancer and substantially impermeable to water and said drug; and e. means for maintaining said medical device in permeation enhancer and drug transmitting relationship to the skin.
These and other advantages of -this invention will be readily apparent from the following description with reference to the accompanying drawings wherein:
~ ~5 ~3~ ARC 1150 Figure 1 is a section through a perspective view of a schematic representation of a preferred embodiment of a transdermal drug delivery device according to this invention, and Figure 2 is a cross-section view through another embodiment of this invention.
DESCRIPTION OF THE INVENTION
The specific drugs used are not critical to this invention and as used herein the term "drug" is to be construed in its broadest sense as a material which is intended to produce some beneficial e.ffect on the organism to which it is applied. As used herein, a drug ih its acid or basic form is considered to be "oil-insoluble" if the solu-bility of the drug in mineral oil is less than about 100 ug/g. A drug . is considered to be "highly ionized" when the percent ionization of the drug in an aqueous drug reservoir is at least about 95%. This occurs when the PKa Of the drug differs from the pH of the reservoir by an absolute value of at least 1.30 The PKa of a drug is the pH of an aqueous solution in which 50% of the drug is in the ionized salt form and 50% is in the unionized base or acid form. Since physiological pH of the skin is in the range of approximately 5.5-7.2;
the PKa for acidic drugs according to this invention is lower than about 4.2 and for basic drugs, higher than 8.5. Representative drugs meeting these criteria include, without limitation, acidic drugs such as the sodium or other salts of indomethacin, acetazolamide, methazolamide, and acetylsalisylic acid, for example, and salts or acid salts of basic drugs such as naltrexone HCl, naloxone HCl, nalbuphine HCl, phenylephrine HCl, chlorpheniramine maleate, phenyl-~,, .
L~2~2 3~ ARC 1150 propanolamine HCl, clonidine HCl, dextromethophan HBr, atropine sulfate, fentanyl citrate, apomorphine sulfate, propranolol HCl, lidocaine HCl, tetracycline HCl, oxytetracycline HCl, tetracaine HCl, dibucaine HCl, terbutaline sulfate, and brompheniramine maleate, for example.
Referring now to Figure 1, a preferred embodiment of a trans-dermal delivery device 1 according to this invention is shown. This system is specifically adapted to deliver the ionized, salt form of a highly ionized, oil-insoluble acidic or basic drug from an aqueous reservoir.
The preferred embodiment comprises an impermeable backing 2 bonded about its periphery to a permeation enhancer release rate controlling member 3 and spaced apart thereform in its central portion to define a permeation enhancer reservoir 7. Member 3 is similarly bonded about its periphery to a porous support member 4 and spaced apart therefrom in its central portion to define an aqueous drug reservoir 8. A contact adhesive layer 5 which layer is permeable to the drug and enhancer is preferably bonded to the surface of porous support 4 and a strippable release liner 6, adapted to protect adhesive 5 prior to use and to be readily removed therefrom, is also ~rovided. To permit transport of drug and enhancer to the skin, the adhesive may be porous or hydrated to be permeable to the drug and enhancer for example. If impermeable to drug and enhancer the adhesive is, located or otherwise adapted to impose no s1gnificant resistance to drug and permeation enhancer transport to the skin. In a preferred embodiment, an in-line, porous polyacrylate adhesive is utilized in layer 5. I-f an hydratable contact adhesive formulation were used9 the adhesive would be equilibriated with at least about 10 .
~S 2 3~ ARC 1150 weight percent water to per~it transport of ionized drug. It should be recognized, however, that if a peripherally located adhesive is used, it need not be porous or-permeable. Also, if desire~, an adhesive overlay or some other means such as buckles9 belts, or elastic bands could be used to maintain the transdermal delivery system l on the skin in which case, if properly packaged, layers 5 and 6 could be omitted. Such a system might be desirable, for example, if the drug adversely affected the adhesive properties of the adhesive layer or if the drug were highly soluble in the adhesive~
Aqueous reservoir 8 contains at least 50%, and preferably substantially more, water containing the drug 9 dispersed therethrough, preferably at a level above saturation. Typically the reservoir will be in the form of a gel~which may also contain stabilizing agents, other excipients and additives. A buffering agent may also be present if required to mainkain the drug reservoir at physiological pH.
The permeation enhancer release rate controlling membrane 3 controls the rate of release of the permeation enhancer from the reservoir 7 to the skin. Porous substrate 4 functions as a physical support for the gelled reservoir and the substrate should be sufficiently porous so that it imposes substantially no resistance to the transport of drug and permeation enhancer to the skin.
In this regard, viscosity of the aqueous reservoir 8 is related to the porosity of the substrate 4 in that it should be sufficiently viscous so that the aqueous reservoir 8 will not readily flow through the substrate 4. The amount of gelling or other thickening agent usPd is not critical but should be the amount required to produce a ~2~ 2~3~L
viscosity in the reservoir 8 sufficient to prevent the reservoir from migrating or othe~wise leaking or oozing through the porous substra~e.
Porous adhesive 5 is likewise selected to provide substantially no resistance to drug or enhancer release. It is a principal function of the substrate 4 to provide a support to which the adhesive 5 can be applied since it is difficult in many cases to provide a good bond bet~een the porous adhesive 5 and the aqueous medium within reservoir 8.
Typically, the rate controlling membrane 3 will bP a hydrophobic membrane which is capable of controlling the rate of release of the - permeation enhancer from reservoir 7 while simultaneously preventing either water or the ionized drug from diffusing or otherwise migrating into enhancer reservoir 7. Thus, upon standing, the aqueous drug reservoir 8 will contain a saturation level of the permeation enhancer.
The materials used in the fabrication of elements 2, 4, 5 and 6 can be selected within very wide limits since they perform primarily structural functions. Thus9 the impermeable backing can be any material which has the desired flexibility, impermeability and insolubility with respect to the permeation enhancer and may either be a single element or a metalized or composite coated element. Typical materials include, without limitation, ethylene vinyl acetate copolymers (EVA), polyesters, metalized polyesters, polyethylenes, polycarbonates, polyvinyl chlorides, polyvinylidene fluoride~
Z5 polysulfones, or laminates of the above such as metalized polyester/EVA or medium density polyethylenP/ EVA, for example.
The porous substrate 4 is preferably a soft~ open-mesh, hydrophobic, fibrous material but may ~lso be a non-fibrous, porous or ~L25~
sponge-like material~ it being merely required that the substrate perform its functions or being bondable to the adhesive and maintaining the gelled aqueous material within the reservoir without providing any significant resistance to the transport of drug and permeation enhancer therethrough. Typical materials include spun laced polyester, spun-laced polyolefin coated polyester, spun bonded polyethylene, spun laced polyethylene or EVA, microporous polypropylene, microporous polycarbonate, woven nylon, rayon or polyester cloths, and open cellular polyethylene or polyurethane foams, for example.
The porous adhesive is preferably a polyacrylate contact adhesive (such as the Norwood 17C porous adhesive) or any other suitable porous adhesive. Alternatively, the adhesive could be a non-porous contact adhesive which is applied about the periphery leaving the center portion beneath reservoir 8 substantially free of adhesive. In that case, any biocompatible content adhesive could be applied, porous or not. Typical adhesive compositions include silicone adhesives, poly-acrylates, polyisobukylene - mineral oil adhesives, tackified styrene-isoprene-styrene block copolymers (~IS)9 tackified EVA contact adhesives, polyacrylamides and various hydratable, hot melt or emulsified (water borne) adhesive compositions, for example.
The strippable backing member likewise can be any material known to the art and may be the same as or different from the material used to provide the impermeable backing 2. The basic requiremert for layer 6 is that it be substantially impermeable to the passage of components from the reservoir and be readily removed from the adhesive 5 without destruction of the integrity of the device. As noted above, i~
* Trade Mark 3~ ARC 1150 adhesive 5 is not used to maintain the device on the skin, the device could be packaged in a close fitting impermeable pouch or bag and layer 6 could also be omitted.
With respect to the gelled aqueous drug reservoir, it is intended that water be the continuous phase. For that reason, the reservoir should be at least 50% and preferably over 70% water. The gelling agent used to thicken the reservoir can be any of a wide variety of gelling agents, such as silica, particulate porous polyisoprene, bentonite clay, various gums such as agar, traganths, polysaccharides, cellulosic materials such as hydroxyethyl cellulose, hydroxypropyl cellulose or hydroxypropyl methyl cellulose and polyacrylates, for example. The basic requirements are that the gelling agent is non-reactive with the drug and does not substantially interfere with the ready diffusion of the materials from the device. A relatively wide degree of flexïbility in the amount of gelling agent used is available since the required viscosity varies inversely with the pore size selected for the substrate. A general range of approximately 1% to 10% by weight of -these gelling agents is normally adequateO
The concentration of the drug within the aqueous reservoir can be varied within relatively wide ranges. Although preferable, it is not always necessary that the drug be present at the saturation con~en-tration with an excess of undissolved drug. This is because, according to this invention, the rate at which the drug is delivered through the skin is controlled primarily by the rate of permeation enhancer delivery. Thus, it is contemplated that the drug may initially be present in the reservoir, either at, above or below the saturation level of the drug in the aqueous medium.
The drug reservoir may also contain a buffer to maintain the pH
'~S ~ 6 ~
of the solution in the desired range during the drug delivery period.
Suitable buffers should, of course, be unreactive with the other components of the system and should preferably form an ion-pair with the drug in which the ionic moiety of the buffer is no less permeable through the skin than the drug moiety. Suitable buffers for acid drugs and basic drugs include, without limitation, phosphates, citrates, ascorbates and carbonates, for example.
Membrane 3 is selected to be substantially impermeable to the flow of water and drug from reservoir 8 into the permeation enhancer reservoir 7 and to have that degree of permeability to the permeation enhancer to permit the rate at which the permeation enhancer is released from reservoir 7 into the skin to be controlled by membranes of reasonable thickness, typically in the range o~ 0.001-0.003 inches.
The membrane 3 may either be a solid membrane or a microporous membrane having rate controlling material in the micropores to meter the release of permeation enhancer 7. Typical rate controlling materials for the formation of a membrane per se or for the rate controlling material to be included in the pores of a microporous membrane would be hydrophobic materials such as polye~hylene EVA, polycarbonates, polyvinyl chloride, polyacrylate polymers, polysulfone polymers, polyvinylidienes, polyvinylidenes r polyesters, and polyisobutylenes, for example.
The permeation enhancer may be present in the reservoir 7 either neat or as solution or dispersion thereof in an appropriate medium.
The permeation enhancer can be selected from any of a wide variety of materials capable of enhancing skin permeation of ionic species.
Typical materials include surfactants, such as -the alkyl substituted ~ .
~23~
sulfoxides such as n-octyl methyl sulfoxide, n-nonyl methyl sulfoxide~
n-decylmethyl sulfoxide (n-DMS), n-undecyl methyl sulfoxide, n-dodecyl methyl sulfoxide; mono- and di- substituted alkyl polyethylene glycols such as polyethylene glycol mono laurate and-polyethylene glycol di laurate; ethanol and other lower alcohols; n-methyl pyrrolidone, dimethyl lauramine~ diethyltoluamide, and the 1-substituted azacycloalkan-2-ones disclosed in U.S. Pa-tents 3,989,816~ 4,405,616, 49415,563 and 4,424,210, for example.
Referring now to Figure 2, another embodiment of the invention is shown. In this embodiment the transdermal therapeutic system 10 according to this invention comprises an impermeable backing 11 containing an aqueous, gelled drug reservoir 12. Reservoir 12 contains microcapsules 13 comprising the permeation enhancer encapsulated in a permeation enhancer release rate controlling material, drug 14, preferably at a level above saturation, and an appropriate buffer to maintain the pH in the physiological range.
Highly permeable support layer 15 is bonded to the edges of backing 11, substantially in the same manner as described with respect to Figure 1 to maintain the reservoir 12 within the system and provide substantially no resistance to the diffusion of the drug and the permeation enhancer therform. In this embodiment, if the viscosity oF
the gelled reservoir 12 is sufficiently high and the adhesive properties are sufficient to provide the bond strength to prevent reservoir 12 from falling out of receptacle 11. in use~ layer 15 could be omitted. A contact adhesive 16 is provided in a peripheral ring below the perimeter of the backing member 11 such that the adhesive is capable of bonding the system to the sk~in without being in the path of 3~
drug and permeation enhancer diffusion from the reservoir to the skin.
In this embodiment the adhesive need not be porous. Below the adhesive is an impermeable release liner 17 adapted to protect the contents of the system and to be removed prior to application to the skin.
The materials used for the various components, with the exception of the contact adhesive, are substantially the same as described with respect to Figure 1. Since the contact adhesive need not be porous and is not in line with the drug path, the constraints as to porosity and non-reactivity are less stringent and a wider selection of applicable materials is available.
Having thus generally described our invention, the following specific examples are provided.
Examples 1-5 . .
Transdermal delivery devices for the delivery of highly ionized, fat insoluble drugs as described in Figure 1 are fabricated as set forth in Table I. (Percentages in weight %.) The systems can be fabricated in sizes of from 5 cm2 to 40 cm2. When applied to the chest of a patient, a steady state delivery rate in the ranges shown may be established after approximately 2-7 hours and maintained for the period shown.
While our invention has been described with respect to several specific embodiments thereof, it is not to be construed as being limited thereto. Various modifications will be apparent to workers skilled in the art which can be made without depar~ing from the scope of this invention which is limited onl~ by the following claims-C .~ 3 ~.~ S
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TRANSDERMAL DELI~ERY OF HIGHLY IONIZED
.
FAT INSOLUBLE DRUGS
, FIELD OF THE INVENTION
This invention relates to medical devices for delivering drugs to the body through intact skin and more particularly for delivering the ionized form of highly ionized, fat insoluble drugs~
BACKGROUND OF THE INVENTION
.
Devices that deliver drugs through the skin for.absorption into the body have been known for some time. For example9 U,S. Patent No.
3,249,109 describes a two-layer topical dressing that consists of an adhesive base made of drug-containing hydrated gelatin with a fabric io backing layer. This type of device could be considered a "skin-control.led" device because the system delivers an exress of drug to the skin and the rate of absorption is contro11ed by the permeability of the skin at the application site which can vary over relatively wide ranges from site-to-site and individual-to-individual. In order to deliver transdermal drugs having a relatively narrow therapeutic range, and for which such wide variations could not be tolerated, "system-controlled" delivery devices were developed which deliver drugs transdermally at rates which are controlled primarily by the delivery device to reduce or eliminate the variations in drug input rate associated with variations in skin permeability. For example, U,S. Patent No. 3,598,122 describes a multilayer adhesive bandage formed of a backing layer, a drug reservoir layer and a contact adhesive layer, and includes means for metering the raté at which~the .~
K U l .L ~) U
.
- drug is released to the skin. ûther representative system controlled transdermal drug delivery devices are described in U~S. Patents 33797l494 and 4,379,454, the latter of which teaches controlling the rate at which a drug is absorbed through the skin by controlling the rate at which a permeation enhancer for the drug is delivered t`o the skin.
In addition, Black, "Transdermal Drug Delivery Systems", U.S. Pharmacist, November 1982, pp. 49-78, provides additional background information regarding commercially available 1û transdermal drug delivery systems and a reasonably complete summary of the factors involved in percutaneous absorption of drugs may be found in Ari~a, et al, "Studies on Percutaneous Absorption of Drugs", Chem.
Phar. Bull., Vol. 18, 197D, pp. 1045-1049; Idson, "Percutaneous Absorption", J. Phar. Sci., Vol. 64, No. 6, pp. 910-922; and Cooney, Advances in Biomedical Engineer ng9 Part 1, Chapter 6, "Drug Permeation Through Skin: Controlled Delivery for Topical of Systemic Therapy", Marcel Dekker, Inc., New York and Basel, 1980 pp. 305-318.
Although the transdermal drug delivery route is rapidly becoming a preferred delivery route for a wide variety of drugs, transdermal 2û delivery is not without its problems. A large number of drugs are oil-insoluble and in aqueous solutions exist, depending on pH, either as the unionized acid or bdse or in the ionized salt form. The unionized forms of most drugs are generally more permeable through the skin than the ionized drug making it easier to achieve, either with or without permeation enhancers, blood levels ~hich are capable of pro-ducing the desired therapeutic effects. (See R. J. Scheuplein, et al., "Permeability of the Skin", Physiological Reviews, ~ol. 51~ No.
~2~2;3~.
4 October 1972, pp. 702-7~7, particularly 729-735). Unfortunately, the pH of aqueous solutions of a free base or acid is usually below 3 for the acid or above 10 for the base, and transdermal delivery at these pH's may cause discomfort and/or irritation to the skin of the recipients. Adjusting the pH of solutions of these drugs to a more physiologically acceptable level (e.g., 5-8) results in a substantial proportion of the drug being converted to the non-permeable, ionized form. As a result, prior -to our invention we are unaware of any transdermal drug delivery system which is cap-able of delivering the ionized form of highly ionized, fat insol-uble drugs at rates adequate to produce desired therapeutic effects.
It is accordingly an aspect of this invention to seek to provide a medical device for transdermal drug deli-very adapted to deliver the ionized form of a highly ionized, fat insoluble drug.
It is another aspect o-f this invention to seek to provide a transdermal drug delivery device capable of deliverying a highly ionized, fat insoluble drug from an aqueous reservoir.
It is another aspect of this invention to seek -to pro-vide a transdermal drug delivery device in which a highly ionized,fat insoluble drug is delivered at a substantially physiological pH.
It is another aspect of this invention -to seek to provide a transdermal drug delivery device capable of deliverying the ionized form of a fat insoluble drug at a substantially constant rate.
It is another aspect of this invention to seek to provide ~5~6~
- 3a -- 67696-82 reservoir compositions useful in the aforementioned drug delivery devices.
In one aspec-t, the invention provides a medical device for the transdermal delivery of a highly ionized fat insoluble drug comprising:
a. aqueous drug reservoir means having said drug dissolved therein;
b. receptacle means containing said aqueous reservoir means, said receptacle means being substantially impermeable to the con-tent of said reservoir means;
c. highly permeable reservoir retaining means disposed overthe skin proximal surface of said aqueous reservoir means;
d. permeation enhancer delivery means for delivering a permeation enhancer to the skin through said aqueous reservoir means, said permeation enhancer delivery means comprising:
i) a source of permeation enhancer, and ii) permeation enhancer release rate controlling means disposed between said source of permeation enhancer and said aqueous reservoir means, said permeation enhancer release rate controlling means comprising a material permeable to said per-meation enhancer and substantially impermeable to water and said drug; and e. means for maintaining said medical device in permeation enhancer and drug transmitting relationship to the skin.
These and other advantages of -this invention will be readily apparent from the following description with reference to the accompanying drawings wherein:
~ ~5 ~3~ ARC 1150 Figure 1 is a section through a perspective view of a schematic representation of a preferred embodiment of a transdermal drug delivery device according to this invention, and Figure 2 is a cross-section view through another embodiment of this invention.
DESCRIPTION OF THE INVENTION
The specific drugs used are not critical to this invention and as used herein the term "drug" is to be construed in its broadest sense as a material which is intended to produce some beneficial e.ffect on the organism to which it is applied. As used herein, a drug ih its acid or basic form is considered to be "oil-insoluble" if the solu-bility of the drug in mineral oil is less than about 100 ug/g. A drug . is considered to be "highly ionized" when the percent ionization of the drug in an aqueous drug reservoir is at least about 95%. This occurs when the PKa Of the drug differs from the pH of the reservoir by an absolute value of at least 1.30 The PKa of a drug is the pH of an aqueous solution in which 50% of the drug is in the ionized salt form and 50% is in the unionized base or acid form. Since physiological pH of the skin is in the range of approximately 5.5-7.2;
the PKa for acidic drugs according to this invention is lower than about 4.2 and for basic drugs, higher than 8.5. Representative drugs meeting these criteria include, without limitation, acidic drugs such as the sodium or other salts of indomethacin, acetazolamide, methazolamide, and acetylsalisylic acid, for example, and salts or acid salts of basic drugs such as naltrexone HCl, naloxone HCl, nalbuphine HCl, phenylephrine HCl, chlorpheniramine maleate, phenyl-~,, .
L~2~2 3~ ARC 1150 propanolamine HCl, clonidine HCl, dextromethophan HBr, atropine sulfate, fentanyl citrate, apomorphine sulfate, propranolol HCl, lidocaine HCl, tetracycline HCl, oxytetracycline HCl, tetracaine HCl, dibucaine HCl, terbutaline sulfate, and brompheniramine maleate, for example.
Referring now to Figure 1, a preferred embodiment of a trans-dermal delivery device 1 according to this invention is shown. This system is specifically adapted to deliver the ionized, salt form of a highly ionized, oil-insoluble acidic or basic drug from an aqueous reservoir.
The preferred embodiment comprises an impermeable backing 2 bonded about its periphery to a permeation enhancer release rate controlling member 3 and spaced apart thereform in its central portion to define a permeation enhancer reservoir 7. Member 3 is similarly bonded about its periphery to a porous support member 4 and spaced apart therefrom in its central portion to define an aqueous drug reservoir 8. A contact adhesive layer 5 which layer is permeable to the drug and enhancer is preferably bonded to the surface of porous support 4 and a strippable release liner 6, adapted to protect adhesive 5 prior to use and to be readily removed therefrom, is also ~rovided. To permit transport of drug and enhancer to the skin, the adhesive may be porous or hydrated to be permeable to the drug and enhancer for example. If impermeable to drug and enhancer the adhesive is, located or otherwise adapted to impose no s1gnificant resistance to drug and permeation enhancer transport to the skin. In a preferred embodiment, an in-line, porous polyacrylate adhesive is utilized in layer 5. I-f an hydratable contact adhesive formulation were used9 the adhesive would be equilibriated with at least about 10 .
~S 2 3~ ARC 1150 weight percent water to per~it transport of ionized drug. It should be recognized, however, that if a peripherally located adhesive is used, it need not be porous or-permeable. Also, if desire~, an adhesive overlay or some other means such as buckles9 belts, or elastic bands could be used to maintain the transdermal delivery system l on the skin in which case, if properly packaged, layers 5 and 6 could be omitted. Such a system might be desirable, for example, if the drug adversely affected the adhesive properties of the adhesive layer or if the drug were highly soluble in the adhesive~
Aqueous reservoir 8 contains at least 50%, and preferably substantially more, water containing the drug 9 dispersed therethrough, preferably at a level above saturation. Typically the reservoir will be in the form of a gel~which may also contain stabilizing agents, other excipients and additives. A buffering agent may also be present if required to mainkain the drug reservoir at physiological pH.
The permeation enhancer release rate controlling membrane 3 controls the rate of release of the permeation enhancer from the reservoir 7 to the skin. Porous substrate 4 functions as a physical support for the gelled reservoir and the substrate should be sufficiently porous so that it imposes substantially no resistance to the transport of drug and permeation enhancer to the skin.
In this regard, viscosity of the aqueous reservoir 8 is related to the porosity of the substrate 4 in that it should be sufficiently viscous so that the aqueous reservoir 8 will not readily flow through the substrate 4. The amount of gelling or other thickening agent usPd is not critical but should be the amount required to produce a ~2~ 2~3~L
viscosity in the reservoir 8 sufficient to prevent the reservoir from migrating or othe~wise leaking or oozing through the porous substra~e.
Porous adhesive 5 is likewise selected to provide substantially no resistance to drug or enhancer release. It is a principal function of the substrate 4 to provide a support to which the adhesive 5 can be applied since it is difficult in many cases to provide a good bond bet~een the porous adhesive 5 and the aqueous medium within reservoir 8.
Typically, the rate controlling membrane 3 will bP a hydrophobic membrane which is capable of controlling the rate of release of the - permeation enhancer from reservoir 7 while simultaneously preventing either water or the ionized drug from diffusing or otherwise migrating into enhancer reservoir 7. Thus, upon standing, the aqueous drug reservoir 8 will contain a saturation level of the permeation enhancer.
The materials used in the fabrication of elements 2, 4, 5 and 6 can be selected within very wide limits since they perform primarily structural functions. Thus9 the impermeable backing can be any material which has the desired flexibility, impermeability and insolubility with respect to the permeation enhancer and may either be a single element or a metalized or composite coated element. Typical materials include, without limitation, ethylene vinyl acetate copolymers (EVA), polyesters, metalized polyesters, polyethylenes, polycarbonates, polyvinyl chlorides, polyvinylidene fluoride~
Z5 polysulfones, or laminates of the above such as metalized polyester/EVA or medium density polyethylenP/ EVA, for example.
The porous substrate 4 is preferably a soft~ open-mesh, hydrophobic, fibrous material but may ~lso be a non-fibrous, porous or ~L25~
sponge-like material~ it being merely required that the substrate perform its functions or being bondable to the adhesive and maintaining the gelled aqueous material within the reservoir without providing any significant resistance to the transport of drug and permeation enhancer therethrough. Typical materials include spun laced polyester, spun-laced polyolefin coated polyester, spun bonded polyethylene, spun laced polyethylene or EVA, microporous polypropylene, microporous polycarbonate, woven nylon, rayon or polyester cloths, and open cellular polyethylene or polyurethane foams, for example.
The porous adhesive is preferably a polyacrylate contact adhesive (such as the Norwood 17C porous adhesive) or any other suitable porous adhesive. Alternatively, the adhesive could be a non-porous contact adhesive which is applied about the periphery leaving the center portion beneath reservoir 8 substantially free of adhesive. In that case, any biocompatible content adhesive could be applied, porous or not. Typical adhesive compositions include silicone adhesives, poly-acrylates, polyisobukylene - mineral oil adhesives, tackified styrene-isoprene-styrene block copolymers (~IS)9 tackified EVA contact adhesives, polyacrylamides and various hydratable, hot melt or emulsified (water borne) adhesive compositions, for example.
The strippable backing member likewise can be any material known to the art and may be the same as or different from the material used to provide the impermeable backing 2. The basic requiremert for layer 6 is that it be substantially impermeable to the passage of components from the reservoir and be readily removed from the adhesive 5 without destruction of the integrity of the device. As noted above, i~
* Trade Mark 3~ ARC 1150 adhesive 5 is not used to maintain the device on the skin, the device could be packaged in a close fitting impermeable pouch or bag and layer 6 could also be omitted.
With respect to the gelled aqueous drug reservoir, it is intended that water be the continuous phase. For that reason, the reservoir should be at least 50% and preferably over 70% water. The gelling agent used to thicken the reservoir can be any of a wide variety of gelling agents, such as silica, particulate porous polyisoprene, bentonite clay, various gums such as agar, traganths, polysaccharides, cellulosic materials such as hydroxyethyl cellulose, hydroxypropyl cellulose or hydroxypropyl methyl cellulose and polyacrylates, for example. The basic requirements are that the gelling agent is non-reactive with the drug and does not substantially interfere with the ready diffusion of the materials from the device. A relatively wide degree of flexïbility in the amount of gelling agent used is available since the required viscosity varies inversely with the pore size selected for the substrate. A general range of approximately 1% to 10% by weight of -these gelling agents is normally adequateO
The concentration of the drug within the aqueous reservoir can be varied within relatively wide ranges. Although preferable, it is not always necessary that the drug be present at the saturation con~en-tration with an excess of undissolved drug. This is because, according to this invention, the rate at which the drug is delivered through the skin is controlled primarily by the rate of permeation enhancer delivery. Thus, it is contemplated that the drug may initially be present in the reservoir, either at, above or below the saturation level of the drug in the aqueous medium.
The drug reservoir may also contain a buffer to maintain the pH
'~S ~ 6 ~
of the solution in the desired range during the drug delivery period.
Suitable buffers should, of course, be unreactive with the other components of the system and should preferably form an ion-pair with the drug in which the ionic moiety of the buffer is no less permeable through the skin than the drug moiety. Suitable buffers for acid drugs and basic drugs include, without limitation, phosphates, citrates, ascorbates and carbonates, for example.
Membrane 3 is selected to be substantially impermeable to the flow of water and drug from reservoir 8 into the permeation enhancer reservoir 7 and to have that degree of permeability to the permeation enhancer to permit the rate at which the permeation enhancer is released from reservoir 7 into the skin to be controlled by membranes of reasonable thickness, typically in the range o~ 0.001-0.003 inches.
The membrane 3 may either be a solid membrane or a microporous membrane having rate controlling material in the micropores to meter the release of permeation enhancer 7. Typical rate controlling materials for the formation of a membrane per se or for the rate controlling material to be included in the pores of a microporous membrane would be hydrophobic materials such as polye~hylene EVA, polycarbonates, polyvinyl chloride, polyacrylate polymers, polysulfone polymers, polyvinylidienes, polyvinylidenes r polyesters, and polyisobutylenes, for example.
The permeation enhancer may be present in the reservoir 7 either neat or as solution or dispersion thereof in an appropriate medium.
The permeation enhancer can be selected from any of a wide variety of materials capable of enhancing skin permeation of ionic species.
Typical materials include surfactants, such as -the alkyl substituted ~ .
~23~
sulfoxides such as n-octyl methyl sulfoxide, n-nonyl methyl sulfoxide~
n-decylmethyl sulfoxide (n-DMS), n-undecyl methyl sulfoxide, n-dodecyl methyl sulfoxide; mono- and di- substituted alkyl polyethylene glycols such as polyethylene glycol mono laurate and-polyethylene glycol di laurate; ethanol and other lower alcohols; n-methyl pyrrolidone, dimethyl lauramine~ diethyltoluamide, and the 1-substituted azacycloalkan-2-ones disclosed in U.S. Pa-tents 3,989,816~ 4,405,616, 49415,563 and 4,424,210, for example.
Referring now to Figure 2, another embodiment of the invention is shown. In this embodiment the transdermal therapeutic system 10 according to this invention comprises an impermeable backing 11 containing an aqueous, gelled drug reservoir 12. Reservoir 12 contains microcapsules 13 comprising the permeation enhancer encapsulated in a permeation enhancer release rate controlling material, drug 14, preferably at a level above saturation, and an appropriate buffer to maintain the pH in the physiological range.
Highly permeable support layer 15 is bonded to the edges of backing 11, substantially in the same manner as described with respect to Figure 1 to maintain the reservoir 12 within the system and provide substantially no resistance to the diffusion of the drug and the permeation enhancer therform. In this embodiment, if the viscosity oF
the gelled reservoir 12 is sufficiently high and the adhesive properties are sufficient to provide the bond strength to prevent reservoir 12 from falling out of receptacle 11. in use~ layer 15 could be omitted. A contact adhesive 16 is provided in a peripheral ring below the perimeter of the backing member 11 such that the adhesive is capable of bonding the system to the sk~in without being in the path of 3~
drug and permeation enhancer diffusion from the reservoir to the skin.
In this embodiment the adhesive need not be porous. Below the adhesive is an impermeable release liner 17 adapted to protect the contents of the system and to be removed prior to application to the skin.
The materials used for the various components, with the exception of the contact adhesive, are substantially the same as described with respect to Figure 1. Since the contact adhesive need not be porous and is not in line with the drug path, the constraints as to porosity and non-reactivity are less stringent and a wider selection of applicable materials is available.
Having thus generally described our invention, the following specific examples are provided.
Examples 1-5 . .
Transdermal delivery devices for the delivery of highly ionized, fat insoluble drugs as described in Figure 1 are fabricated as set forth in Table I. (Percentages in weight %.) The systems can be fabricated in sizes of from 5 cm2 to 40 cm2. When applied to the chest of a patient, a steady state delivery rate in the ranges shown may be established after approximately 2-7 hours and maintained for the period shown.
While our invention has been described with respect to several specific embodiments thereof, it is not to be construed as being limited thereto. Various modifications will be apparent to workers skilled in the art which can be made without depar~ing from the scope of this invention which is limited onl~ by the following claims-C .~ 3 ~.~ S
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Claims (13)
- Claim 1. A medical device for the transdermal delivery of a highly ionized fat-insoluble drug comprising:
a. aqueous drug reservoir means having said drug dissolved therein;
b. receptacle means containing said aqueous reservoir means, said receptacle means being substantially impermeable to the content of said reservoir means;
c. highly permeable reservoir retaining means disposed over the skin proximal surface of said aqueous reservoir means;
d. permeation enhancer delivery means for delivering a permeation enhancer to the skin through said aqueous reservoir means, said permeation enhancer delivery means comprising:
i) a source of permeation enhancer, and ii) permeation enhancer release rate controlling means disposed between said source of permeation enhancer and said aqueous reservoir means, said permeation enhancer release rate controlling means comprising a material permeable to said permeation enhancer and substantially impermeable to water and said drug; and e. means for maintaining said medical device in permeation enhancer and drug transmitting relationship to the skin. - Claim 2. The medical device of Claim 1 wherein the pH of said aqueous reservoir is in the range of 4.5-8.5.
- Claim 3. The medical device of Claim 1 wherein said means for maintaining said medical device on the skin comprises a layer of a permeable adhesive disposed on the skin proximal surface of said reservoir retaining means.
- Claim 4. The medical device of Claim 1 wherein said permeation enhancer release rate controlling means comprises at least a portion of said receptacle means and said permeation enhancer is confined behind the skin distal surface of said receptacle means by an impermeable backing sealed to said receptacle means.
- Claim 5. The medical device of Claim 1 wherein said source of permeation enhancer comprises a multiplicity of microcapsules of permeation enhancer within said permeation enhancer release rate controlling means; said microcapsules being dispersed through said aqueous reservoir means.
- Claim 6. The medical device of Claim 1 wherein said aqueous reservoir means contains undissolved drug dispersed therethrough.
- Claim 7. The medical device of claim 1 wherein said drug is dissolved within said aqueous reservoir means at a level below saturation.
- Claim 8. The medical device of claim 1 wherein said means for maintaining said medical device on the skin comprises a peripherally disposed layer of adhesive outside the path of drug and permeation enhancer flow to the skin.
- Claim 9. The medical device of claim 2 wherein said aqueous reservoir comprises a gel containing at least 50% water.
- Claim 10. The medical device of claim 2 wherein said drug is selected from the group consisting of the ionized form of indomethacin, acetazolamide, methazolamide, acetylsalisylic acid, naltrexone, naloxone, nalbuphine, phenylephrine, chlorpheniramine, phenylpropanolamine, clonidine, dextromethorphan, atropine, fentanyl, apomorphine, propranolol, lidocaine, tetracycline, oxytetracycline, tetracaine, dibucaine, terbutaline, and brompheniramine.
- Claim 11. The medical device of claim 10 wherein said aqueous reservoir comprises a gel containing at least 50% water.
- Claim 12. The medical device of claim 2 wherein said permeation enhancer is selected from the group consisting of the alkyl substituted sulfoxides, mono and di-substituted alkyl polyethylene glycols, lower alkyl alcohols; n methyl pyrrolidone, dimethyl lauramine, diethyltoleamide and 1-substituted azacycloalkan-2-ones.
- Claim 13. The medical device of claim 2 wherein said drug is selected from the group consisting of ionized naloxone, nalbuphine, phenylpropanolamine, chlorphenaramine, and phenylepherine; said permeation enhancer is n-decylmethylsulfoxide and said permeation enhancer release rate controlling material is selected from the group consisting of ethylene vinyl acetate copolymers and polyethylene.
Applications Claiming Priority (2)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US06/730,713 US4645502A (en) | 1985-05-03 | 1985-05-03 | Transdermal delivery of highly ionized fat insoluble drugs |
US730,713 | 1985-05-03 |
Publications (1)
Publication Number | Publication Date |
---|---|
CA1252361A true CA1252361A (en) | 1989-04-11 |
Family
ID=24936525
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
CA000508216A Expired CA1252361A (en) | 1985-05-03 | 1986-05-02 | Transdermal delivery of highly ionized fat soluble drugs |
Country Status (8)
Country | Link |
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US (1) | US4645502A (en) |
JP (1) | JPH01170476A (en) |
CA (1) | CA1252361A (en) |
DE (1) | DE3614843A1 (en) |
ES (1) | ES8801987A1 (en) |
FR (1) | FR2581314A1 (en) |
GB (1) | GB2174605B (en) |
IT (1) | IT1203553B (en) |
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US3797494A (en) * | 1969-04-01 | 1974-03-19 | Alza Corp | Bandage for the administration of drug by controlled metering through microporous materials |
US3854480A (en) * | 1969-04-01 | 1974-12-17 | Alza Corp | Drug-delivery system |
US3996934A (en) * | 1971-08-09 | 1976-12-14 | Alza Corporation | Medical bandage |
GB1510569A (en) * | 1976-07-02 | 1978-05-10 | American Home Prod | Dosage form for the administration of a medicament to a moist body surface |
US4460372A (en) * | 1981-02-17 | 1984-07-17 | Alza Corporation | Percutaneous absorption enhancer dispenser for use in coadministering drug and percutaneous absorption enhancer |
US4379454A (en) * | 1981-02-17 | 1983-04-12 | Alza Corporation | Dosage for coadministering drug and percutaneous absorption enhancer |
US4725272A (en) * | 1981-06-29 | 1988-02-16 | Alza Corporation | Novel bandage for administering beneficial drug |
FR2534140B1 (en) * | 1982-10-12 | 1986-01-31 | Fournier Laboratoires | NEW DEVICE FOR PERCUTANEOUS ADMINISTRATION OF MEDICINES |
JPS59155267A (en) * | 1983-02-23 | 1984-09-04 | 帝国製薬株式会社 | Capsule pad adhering agent for subcateneous absorption |
US4588580B2 (en) * | 1984-07-23 | 1999-02-16 | Alaz Corp | Transdermal administration of fentanyl and device therefor |
US4573995A (en) * | 1984-10-09 | 1986-03-04 | Alza Corporation | Transdermal therapeutic systems for the administration of naloxone, naltrexone and nalbuphine |
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1985
- 1985-05-03 US US06/730,713 patent/US4645502A/en not_active Expired - Lifetime
-
1986
- 1986-04-16 GB GB08609219A patent/GB2174605B/en not_active Expired
- 1986-04-18 ES ES554169A patent/ES8801987A1/en not_active Expired
- 1986-04-30 FR FR8606278A patent/FR2581314A1/en active Pending
- 1986-04-30 IT IT67361/86A patent/IT1203553B/en active
- 1986-05-01 JP JP61101899A patent/JPH01170476A/en active Pending
- 1986-05-02 DE DE19863614843 patent/DE3614843A1/en active Granted
- 1986-05-02 CA CA000508216A patent/CA1252361A/en not_active Expired
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FR2581314A1 (en) | 1986-11-07 |
JPH01170476A (en) | 1989-07-05 |
GB2174605B (en) | 1988-09-01 |
GB8609219D0 (en) | 1986-05-21 |
US4645502A (en) | 1987-02-24 |
IT8667361A0 (en) | 1986-04-30 |
ES554169A0 (en) | 1988-03-16 |
GB2174605A (en) | 1986-11-12 |
DE3614843C2 (en) | 1989-04-27 |
ES8801987A1 (en) | 1988-03-16 |
IT1203553B (en) | 1989-02-15 |
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